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PASCO COUNTY, FLORIDA <br /> P*rtrdt No. �/�/ 7✓ <br /> / Date Parmltted <br /> t Bulkier Name/Own <br /> Name L. -AA0r ' _Control#' <br /> F : <br /> t County Parcel No. %f� vI r SubDIV: <br /> Address/Location 3 L <br /> ClassftfcadonlType of Usq i <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: T 7 b <br /> Exempt ❑Yes ❑No <br /> / How Determined <br /> Impact Fee Amount s, 3/(03� Zone No. TAz: <br /> I <br /> SCHOOL IMPACT FEE -7 k <br /> Account (o5e) Single-Family Detached House Amount <br /> (057) Mobile Home <br /> (055) Other Residential <br /> 123) Collection Fee A, <br /> Exempt [�Yes ❑No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> f t <br /> Recreation Account Recreation Credit :Recreation Total w <br /> Zone TOTAL AMOUNT $ f--56 <br /> • I <br /> Exempt ❑Yes ❑No How Determined <br /> LIBRARY FEE — <br /> Land Account Land Credit Land Total <br /> Facliity.Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑No How Determined Total Amount• I <br /> RESOURCE FEE ERU TOTAL AMOUNT <br /> Prepared By Chocked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> _ RECEIPTED FOR BY A'CENTRAL PERMITTINd OFFICE•OF PASCO COUNTY <br /> Acknowledgement below dose not Imply acceptance of concurrence,but simply receipt of s copy of this fort,placing <br /> the buU ttp permit owner on notice of We assessment and the condlliono of payment far same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />